Building-wide Pick-up Request Form

GreenCitizen has provided building-wide pick-ups to tenants in many environmentally conscious properties in the San Francisco Bay Area. We are proud to have serviced over 9,000 business customers and hundreds of building events in the last five years with 100% customer satisfaction.

We have three different building-wide pickup options:

• A one-time building pick-up event
• Monthly building pick-up option
• Quarterly building pick-up option

Building-Wide Pick-up Request Form

Request Date: 05/24/2013 7:58 pm

Please tell us a little bit about your building so we can respond back with a proposal that would meet your building pick-up needs.

(* is required information)

Your Name: *		Your Email Address: *
Your Phone: *		Title:
Building Name: *
Building Address: *		Cross Street:
Size of your building in rentable Square footage:
Number of tenants in your building:
How often would you like to have a building event: One time event Once a Month Once every three months
Does your building have a dedicated loading and unloading space for the event? YES NO
Does your building need Certificate of Insurance? YES NO If yes, do your insurance requirements call for an Additional Insured Endorsement? YES NO
Does your building have a freight elevator to the tenant's suites? YES NO
When would you like to have your first event? * (ex. 02/23/2010 9am)
When is the best time and best way to contact you? (ex. 10am by phone)
Security Code: *	Please enter the code from the picture